With the backing of the AFL-CIO, National Nurses United, and the International Federation of Professional & Technical Engineers, Sen. Bernie Sanders (I-VT) and Rep. Jim McDermott (D-WA) simultaneously introduced the American Health Security Act of 2011, a Medicare-for-All single-payer system.

The move triggered a "provocative, interesting discussion," as Sanders described it, during a Health, Education, Labor, and Pensions subcommittee hearing in the Senate last week in which the Vermont Senator squared off with Sen. Rand Paul (R-KY) (see video below). Sanders and a physician-witness agreed that treating healthcare as a "right" is consistent with the Hippocratic Oath. For his part, Paul, a self-certified physician, claimed that the establishment of healthcare as a right would turn physicians and their staffs into slaves, with the possibility of police barging into their houses at night to arrest them. Paul's theory that medical care for all "enslaves" doctors and all of those who choose to work in their offices, would no doubt come as a surprise to many physicians who live comfortably in single-payer countries, like the wealthy UK physician interviewed by Michael Moore in Sicko!

Dr. Paul's remarks underscore the extent to which ideology has obscured a basic reality that the core problem is not the ability of American physicians to deliver quality healthcare, but the absurdity of a society which places a greater value on accumulating obscene wealth in the hands of the privileged few above the health and very lives of its citizens...

Inequality is hazardous to your health

The core issue was identified by Dr. Stephen Bezruchka during a Mar. 30, 2009, appearance on Democracy Now!:

Americans think that it’s healthcare that produces health, when there really is very little evidence for that. What turns out to be really important is the nature of caring and sharing in society….Where societies are more equal --- and economic equality is the thing that is most important in this --- people look after each other…and pretty well everyone does better. There’s almost nothing that is better in a society that tolerates the extreme levels of inequality in the United States. And so, we end up dying younger than people in all the other rich countries, despite spending half the world’s healthcare bill.

An article posted at Senator Sanders' web site backs up that observation. It reads, in part:

Under the current health care system, 45,000 Americans a year die because they delay seeking care they cannot afford. Health care eats up one-fifth of the U.S. economy, but we rank 26th among major, developed nations on life expectancy and 31st on infant mortality.

Exposing the 'universal coverage' scams

As we previously observed in "Single-Payer and the 'Democracy Deficit,'" various so-called "universal coverage" schemes share two essential features: (1) they do not address the core problem, which is not a lack of coverage but the presence of parasites --- for-profit carriers and HMOs --- which are sucking up billions of health care dollars for profit instead of for care; (2) they provide the illusion of reform while reinforcing the corruption of the current dysfunctional system by providing subsidies that will find their way into the coffers of the unnecessary, profit-driven parasites.

This is true of both the "mandatory coverage" under the Obama healthcare plan and the Mitt Romney Massachusetts law on which it was based.

While Romney concedes that his plan is a liability within the radical right GOP because it uses tax dollars to subsidize "coverage" for the poor, the reality is that the plan saddles MA families with some of the highest coverage premiums in the nation.

In Feb. 2009 Physicians for a National Health Program (PNHP) revealed that "insurance" afforded the lower middle class carries such high deductibles that care is rendered unaffordable. One young diabetic Bostonian reported that, under the law, medical care consumes one-fourth of her take home pay.

A matter of democracy

In 2009, when I wrote "Single Payer and the 'Democracy Deficit,'" I noted that where opponents of single-payer healthcare system rail against paying taxes towards it, the PNHP reports that our taxes already pay for 60% of health care costs in the US. "Americans pay the highest health care taxes in the world. We pay for national health insurance, but don’t get it."

Back then, the PNHP calculated that 31% of the money we spend on healthcare goes to the parasitic middle-men --- for-profit carriers, their CEOs, and Wall Street investors --- as compared to administrative costs in single-payer countries of one to two percent. According to Sen. Sanders, over the past two years that number has swelled to 40%.

Whether we deal with matters of war and peace, the recent assaults on unions, voter suppression, or environmental degradation, at the core we find a fundamental dispute between plutocracy and democracy.

As the late Supreme Court Justice Louis Brandeis so eloquently observed, "We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both."

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Video of debate between Senators Bernie Sanders and Rand Paul on 5/11/11 follows...

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Ernest A. Canning has been an active member of the California state bar since 1977. Mr. Canning has received both undergraduate and graduate degrees in political science as well as a juris doctor. He is also a Vietnam vet (4th Infantry, Central Highlands 1968).

Once again we must ask: "Why is such necessary and important legislation introduced in the House, now in control of American neo-fascists, instead of in 2009 when the Democrats controlled it by a wide margin (and ignored HR676)."

Are there specific provisions of the new bill making illegal medical practice by "self-certified" quacks?

Instead of requiring physicians and patients to seek approval from those who have a vested interest in denying vital forms of medical care (insurers), a single-payer system establishes a government run agency whose focus is the efficient delivery of necessary health care to all citizens. Physicians are directly compensated by the non-profit, government agency, eliminating the exorbitant waste on private insurance company profits.

In nations like the UK, the focus is on preventative care, which, along with the elimination of insurance company CEOs and their Wall Street investors from the equation, drastically reduces the cost.

Of course, there is a collateral need to drastically reduce the cost of pharmaceuticals in the U.S. Americans pay anywhere from two to four times as much for the same prescription medications than Canadians, depending upon the medication, partially due to a delay in the release of generics in the U.S.

Rand Paul's remarks are stunning! He is making patently absurd claims with the utmost sincerity.

Many, many countries treat healthcare as a right. Where oh where is ANY SHRED OF EVIDENCE FROM ANY OF THOSE PLACES that the doctors, nurses, and everyone else associated with providing medical care are considered or treated as slaves? WHERE?????!!!!!!!!!! How do you even satirize statements that start off so far removed from the known universe?

The bar for what passes as reasoned debate continues to be lowered. One thinks, no, it can't get worse than it is, but then, yes, it does. There seems to be no bottom to our bullshit bucket. The bottom's fallen out. We're all being invited to jump down the rabbit hole. Into the cesspool.

It all reminds me of very, very bad parenting. A good parent would never let their kid get away with pathological lying. But we say, yeah, let's be "governed" by those kinds of kids.